The utility of dual energy computed tomography in the management of axial gout: case reports and literature review

BMC Rheumatology

article

Wang, Jeremy X.¹  Ng, Beverly¹  Bak, Haesung¹  Spencer, David¹  Manolios, Nicholas¹  Wong, Peter K. K.¹ 

[1] Department of Rheumatology, Westmead Hospital;Sydney Medical School, University of Sydney;Rural Clinical School, Faculty of Medicine, University of New South Wales

关键词: Spinal gout;    Back pain;    Dual energy computed tomography;    Diagnosis;   

DOI  :  10.1186/s41927-020-00119-6

学科分类：社会科学、人文和艺术（综合）

来源: BioMed Central

【 摘 要 】

Severe spinal pain is an unusual presentation of gout. Due to its rarity and the difficulty of obtaining joint fluid or tissue for crystal analysis, dual energy computed tomography (DECT) may be a useful imaging modality in the management of axial gout. Two patients independently presented to a major teaching hospital with severe spinal pain subsequently shown to be due to gout. The first patient presented with back pain and fevers and was initially thought to have lumbar facet joint septic arthritis. The second case presented with severe back pain. In both cases, DECT suggested monosodium urate deposition in spinal tissues as the cause of their presentation. Axial gout should be considered in the differential diagnosis of severe spinal pain. A DECT study may be a useful diagnostic tool in the management of spinal gout.

【 授权许可】

CC BY|CC0